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CASE REPORT
Year : 2018  |  Volume : 2  |  Issue : 2  |  Page : 35-37

Acral metastasis in carcinoma of buccal mucosa: An unusual presentation


1 Department of Radiotherapy, Acharya Harihara Regional Cancer Centre, Cuttack, Odisha, India
2 Department of Medical Oncology, Acharya Harihara Regional Cancer Centre, Cuttack, Odisha, India

Correspondence Address:
Dr. Surendra Nath Senapati
Department of Radiotherapy, Acharya Harihara Regional Cancer Centre, Cuttack - 753 007, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/oji.oji_13_18

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Acral metastasis is rare in incidence with poor prognosis due to presence of widespread metastases during presentation. Lung is the most common primary for acral metastases followed by breast and kidney. Acrometastasis with head and neck primary is an extremely rare situation with only few cases reported in the literature. Here, we present a case of acral metastases in a 40-year-old male. The patient was previously diagnosed as a case of squamous cell carcinoma of gingivobuccal sulcus on the left side, and for which, he had undergone radical surgery followed by adjuvant concurrent chemoradiation 6 months back. The patient had local recurrence with multiple metastatic pleural nodules during diagnosis of acral metastasis. The patient was treated with one cycle of palliative chemotherapy followed by amputation of the metastatic finger. However, after 2 months of treatment, the patient was died due to the disease progression.


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